one year review of domestic violence in a women of Lahore, a study at FMH

Objective: women and children are often in great danger in the place where they should be safest: within their families. Those affected by domestic violence experiences a hidden "homelessness"

Material and Methods: a cross-sectional descriptive study from April to June 2012 at Fatima Memorial hospital, Shadman Lahore. The total population of Lahore is 10,000,000. The sample size 384 women .Inclusion criteria is married women 18-50 years old , resident of the community> 3years

Results: a total of 384 women were included in the study, 82% had different types of violence, 37% had physical violence from husband .Infertility and not giving birth to a son were two other reasons for violence found in our study

Conclusion: the levels of physical, psychological violence were high as compared to sexual violence, confirming it's a universal phenomenon existing worldwide in all communities. There should be the laws passed and implemented in the society against the domestic violence so that women can also play a healthy role in the development of the country and there family and we appear as a successful nation on the globe of the world

Cortical blindness in preeclampsia patient after a cesarean delivery: a case report at FMH

The three most common visual complications of preeclampsia and eclampsia are hypertensive retinopathy, exudative retinal detachment and cortical blindness. Preeclampsia-eclampsia can have neurological squelae; cortical blindness is one of these. We report case of parturient with mild preeclampsia that subsequently developed transient blindness

Pervious cesarean birth: a risk factor for placenta Previa?

Objective: to compare the risk of Placenta Previa among women who had a pervious cesarean section with women who delivered vaginally

Material and Methods: retrospective cohort study. Study analyzed available data from department of Obstetrics and Gynecology Fatima Memorial Hospital Lahore. Two Years, July 2010 to July 2012

Results: total 56 patients with all types of Placenta Previa were included in the study. Mostly patients were between 26-30 years age. Twenty patients were after normal delivery and 36 were after lower segment caesarean section

Conclusion: there is an increased risk of Placenta Previa in the subsequent pregnancy after lower segment caesarean section as compared to a normal vaginal delivery

Maternal morbidity and associated fetomaternal outcomes in women with twin pregnanies

Objective: multiple pregnancies still warrants special attention as it is associated with increasing risk for mother and fetus. Preterm delivery increases the risk for baby. This study was conducted to evaluate the risks of pregnancy complications and associated fetal and maternal outcome in women with twin pregnancies

Material and Methods: it was one year observational study from 1st January 2012 till 31st December, 2012 at department of obstetrics and gynecology Fatima Memorial Hospital, Lahore. All women admitted to the labour ward with twin pregnancies after 28weeks of gestation were included in the study. Main outcome measures were maternal complications [i.e., anemia, preterm labour, pregnancy induced hypertension, postpartum hemorrhage etc.] and perinatal morbidity and mortality. All data collected was analyzed using SPSS-16

Results: majority of women 78[78%] were unbooked and only 22[22%] were booked, 56[56%] women presented with preterm labor, anemia was found in 72[72%] patients and hypertension in 33[33%] patients. Majority presented between 30-35weeks gestation and 30[30%] patients delivered at 36weeks and above. The most common cause of neonatal death was very low birth weight followed by sepsis and jaundice

Conclusion: multiple pregnancies are associated with increasing risk for the mother and fetus. Preterm delivery increases the risk for baby

5 years review of maternal mortality at FMH

To identify the main causes and associated factors contributing to maternal deaths. The medical record of all the women dying in the department of obstetrics and gynecology were reviewed. Demographic records including age, parity, socioeconomic status and antenatal care were analyzed from the patient's records. There were 16 maternal deaths during the study period with the maternal mortality ratio MMR of 52.04/100,000 live births[16/30,741]. The probable causes of deaths were ascertained on clinical assessment done jointly by gynaecologist, anesthetist and physician as postmortem examination was not done. The major causative factors were hemorrhage in 8[50%] patients, thromboembolism in 2[12.50%] septic shock in 2[12.50%] and acute pancreatitis in 1[6.25%].12/16 patients were unbooked and brought in emergency department. The ages of the women, who died ranged between 21-39 years. There were 5 primigravidas, 5 patients were Para 1-4, and 6 women had a parity more than 4. Most of the maternal deaths can be prevented by providing skilled obstetrical care at the time of delivery, by emergency department and proper management of complications. Safe motherhood requires no costly technology but only appropriate setting of resources; we also need public awareness, raising the self determination and awareness of women rights and improvement of her role in decision making

Morbidity associated with obesity in pregnancy

Obesity is associated with increased risk of illness and disability. It is one of the leading preventable causes of death in the World. Major maternal complications associated with obesity include diabetes mellitus, hypertension, deep vein thrombosis, respiratory diseases, infections and birth defects and even decreased fertility. Economic consequences of obesity are operative delivery and its complications, prolonged hospital stay. 1. To review maternal and fetal morbidity associated with obesity. 2. To observe the mode of delivery in obese pregnant female. Observational study [cross section]. This study was conducted at Khair-un-Nisa Hospital affiliated with Fatima Memorial Hospital from April 2011 to October 2011. 60 patients were enrolled in this study. Women with BMI more than 30 were included in our study. BMI was calculated by pre-pregnancy weight or weight during first trimester at booking within outpatient department. Patients with history of chronic hypertension, diabetes mellitus were not included in the study. The prevalence of obesity is increasing in our young population. In this study mean age is 30 years +/- SD 91.25. Most of the patients had BMI 33 +/- SD 2.80. Hypertension, diabetes, urinary tract infection 18.33%, congenital abnormalities 16.7%. Most of the patients ended on LSCS 30.5%, wound infection noted in 11 patients 18.3%. During normal vaginal delivery 4 patients 6.7% had third degree prenieal tear and 11 patients had post-partum hemorrhage. Fetal complications were birth asphyxia in 8 [13.3%] neonates and shoulder dystocia in 2 [3.3%] babies. Obesity is a public health problem because of its prevalence, cost and health effects. Maternal obesity carries significant risk for mother and fetus. Risk increases with degree of obesity. Feto-maternal morbidity associated with it, can be prevented by creating awareness and preventing overweight and obesity in adults and children